| NPI | 1538235171 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: TN 27686) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: MS 10835) |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: OK 16897) | |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2007-07-08 |