| 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: CO 0054744) |
| 2083X0100X Preventive Medicine Occupational Medicine (Licence: KS 04-25127) | |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2025-07-11 |