| NPI | 1134139074 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: AZ 6390) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: CA C33171) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2010-01-21 |