NPI | 1922172436 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301050028) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 050028) |
2083X0100X Preventive Medicine, Occupational Medicine (Licence: MI 050028) | |
Enumeration Date | 2006-11-17 |
Last Update Date | 2015-02-25 |