| NPI | 1265412282 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine Preventive Medicine/Occupational Environmental Medicine (Licence: KY 02440) |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2022-01-24 |