| NPI | 1396896379 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine Preventive Medicine/Occupational Environmental Medicine (Licence: TN MD0000011069) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2013-08-01 |