| NPI | 1780604918 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 21829) |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: SC 21829) |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: SC 21829) | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2020-10-27 |