| NPI | 1528299468 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: MI 4301082927) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: OH 35059559B) |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: TN MD0000014318) | |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2009-07-27 |