| NPI | 1033470158 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: TX R2464) |
| Additional Taxonomies | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: TX R2464) |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: CA 12592) | |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2024-04-12 |