NPI | 1477053908 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: GA 95350) |
Enumeration Date | 2018-02-21 |
Last Update Date | 2024-07-16 |