| NPI | 1144458092 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: MI 4301104444) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: IL 036.136396) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2025-02-28 |