| NPI | 1295038990 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: AZ 4737) |
| Enumeration Date | 2010-12-19 |
| Last Update Date | 2010-12-19 |