| NPI | 1780988469 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: FL ME 129207) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME 129207) |
| 207R00000X Internal Medicine (Licence: FL ME 129207) | |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2022-10-10 |