| NPI | 1417071366 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: WV 2287) |
| Additional Taxonomies | 2083T0002X Preventive Medicine, Medical Toxicology (Licence: WV 2287) |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: WV 2287) | |
| Enumeration Date | 2007-03-18 |
| Last Update Date | 2022-05-13 |