| NPI | 1356866511 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: CO 16163) |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2022-07-21 |