| NPI | 1588728596 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083C0008X Preventive Medicine Clinical Informatics (Licence: TX J3607) |
| Additional Taxonomies | 2083P0500X Preventive Medicine Preventive Medicine/Occupational Environmental Medicine (Licence: GA 058643) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2022-05-23 |