| NPI | 1144439027 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: FL ME92859) |
| Additional Taxonomies | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: PA MD036141E) |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: PA MD036141E) | |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: MD D0057126) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-01-20 |