| NPI | 1881676575 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine Preventive Medicine/Occupational Environmental Medicine (Licence: AZ 6528) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 06528) |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2020-10-02 |