| NPI | 1891922381 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: MD D30358) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD D30358) |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2009-06-11 |