| NPI | 1295719607 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: MN 35950) |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2019-07-08 |