| NPI | 1275727257 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: MN 50282) |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: WI 51372-20) |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: ND 13520) | |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2019-10-25 |