| NPI | 1093893570 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: CT 077345) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: CA 20A8463) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2024-08-08 |