| NPI | 1053930719 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: OR DO226034) |
| Enumeration Date | 2020-04-13 |
| Last Update Date | 2026-03-14 |