| NPI | 1538789813 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: WI 77574) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: UT 12985104-1205) |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2024-09-09 |