| NPI | 1831293794 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: MA 230278) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 230278) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2025-01-22 |