| NPI | 1184165474 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine Occupational Medicine (Licence: WI 22534) |
| Additional Taxonomies | 2083X0100X Preventive Medicine Occupational Medicine (Licence: UT 11899060-1204) |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2025-07-14 |