| NPI | 1275684417 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: AL 22966) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: AL MD22966) |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2014-04-16 |