| NPI | 1326170465 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083T0002X Preventive Medicine Medical Toxicology (Licence: TX J2524) |
| Additional Taxonomies | 2083X0100X Preventive Medicine Occupational Medicine (Licence: TX J2524) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2025-09-11 |