| NPI | 1427030931 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: KY 28223) |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2007-07-08 |