| NPI | 1194787432 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: CO DR0054744) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: KS 04-25127) |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2020-11-12 |