| NPI | 1346474111 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: MN 56398) |
| Additional Taxonomies | 174400000X Specialist (Licence: MN 56398) |
| Enumeration Date | 2009-05-08 |
| Last Update Date | 2021-08-13 |