| NPI | 1275513236 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083P0500X Preventive Medicine Preventive Medicine/Occupational Environmental Medicine (Licence: MO R5F99) |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2013-08-27 |