NPI | 1871612432 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME55576) |
Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: GA 034737) |
Enumeration Date | 2007-03-28 |
Last Update Date | 2007-07-08 |