| NPI | 1356419246 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine Preventive Medicine/Occupational Environmental Medicine (Licence: VA 0101052172) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2009-12-10 |