| NPI | 1851385215 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: LA 018534) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: LA 018534) |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2023-05-31 |