| NPI | 1982763249 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: OK 2257) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: OK 2257) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2018-03-17 |