| NPI | 1568661452 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine Preventive Medicine/Occupational Environmental Medicine (Licence: TX M2512) |
| Additional Taxonomies | 2083X0100X Preventive Medicine Occupational Medicine (Licence: CA A93006) |
| 2083X0100X Preventive Medicine Occupational Medicine (Licence: TX M2512) | |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2015-03-19 |