| NPI | 1154560902 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine Occupational Medicine (Licence: HI MD-9798) |
| Additional Taxonomies | 2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: HI MD-9798) |
| Enumeration Date | 2009-02-18 |
| Last Update Date | 2022-07-21 |