| NPI | 1437112992 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083X0100X Preventive Medicine Occupational Medicine (Licence: OH 35 049449) |
| Additional Taxonomies | 2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: OH 35.049449) |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2017-03-31 |