| NPI | 1588993828 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: CO DR.0057677) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: MD D0051488) |
| Enumeration Date | 2009-12-16 |
| Last Update Date | 2021-05-20 |