| NPI | 1497715478 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: VA 0101039727) |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2007-10-17 |