| NPI | 1114100898 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: FL ME 127962) |
| Additional Taxonomies | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: IL 238.000173) |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: IL 036.124389) | |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: DE C1-0011674) | |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: OH 35.127094) | |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2019-04-15 |