| NPI | 1437253515 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine Occupational Medicine (Licence: MS 20863) |
| Additional Taxonomies | 2083X0100X Preventive Medicine Occupational Medicine (Licence: MO 2003000629) |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2010-04-29 |