| NPI | 1861670028 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: MN 52759) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: MN 52759) |
| Enumeration Date | 2008-02-08 |
| Last Update Date | 2019-05-31 |