| NPI | 1225002660 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: MO R7D13) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: KS 0419809) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2023-10-16 |