| NPI | 1336266014 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine Preventive Medicine/Occupational Environmental Medicine (Licence: NE 12480) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2012-04-06 |