| NPI | 1356520845 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: TN 36260) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: SC 27823) |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2007-10-31 |