NPI | 1811936479 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 40381) |
Additional Taxonomies | 208D00000X General Practice (Licence: AL 26995) |
208D00000X General Practice (Licence: TN 40381) | |
208D00000X General Practice (Licence: GA 56932) | |
208D00000X General Practice (Licence: MA 219880) | |
2083X0100X Preventive Medicine Occupational Medicine (Licence: TN 40381) | |
2083X0100X Preventive Medicine Occupational Medicine (Licence: AL 26995) | |
Enumeration Date | 2006-06-06 |
Last Update Date | 2011-12-01 |