| NPI | 1447325188 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: CO 33547) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2021-02-19 |