| NPI | 1346335551 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine Preventive Medicine/Occupational Environmental Medicine (Licence: TX H2897) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2022-07-21 |