| NPI | 1538130851 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: FL ME132989) |
| Additional Taxonomies | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: IN 01061175A) |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: CA C146217) | |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2026-05-04 |