| NPI | 1841585718 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: FL ME 121536) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 2493111) |
| Enumeration Date | 2011-06-18 |
| Last Update Date | 2015-12-21 |