| NPI | 1558455519 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine Preventive Medicine/Occupational Environmental Medicine (Licence: LA 13848) |
| Additional Taxonomies | 2083T0002X Preventive Medicine Medical Toxicology (Licence: LA 13848) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-08 |