| NPI | 1346239464 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine Preventive Medicine/Occupational Environmental Medicine (Licence: TX G5295) |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2016-10-21 |