| NPI | 1144723289 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: VA 0101267432) |
| Enumeration Date | 2018-03-15 |
| Last Update Date | 2026-08-03 |