| NPI | 1932194677 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: AZ 56878) |
| Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: PA 095555) |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: MO 2009036609) | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: PA MD432439) | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: SC 22041) | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: VA 0101238689) | |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2018-08-08 |