| NPI | 1407069248 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: FL OS6196) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: NE 160) |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: NM 84-248) | |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: NM A-794-84) | |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2022-07-21 |