| NPI | 1619186459 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine Occupational Medicine (Licence: AZ 36235) |
| Additional Taxonomies | 174400000X Specialist (Licence: AZ 36235) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2024-02-22 |