| NPI | 1427234939 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine Preventive Medicine/Occupational Environmental Medicine (Licence: VA 0102201999) |
| Additional Taxonomies | 2083X0100X Preventive Medicine Occupational Medicine (Licence: VA 0102201999) |
| 2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: VA 0102201999) | |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2009-12-08 |