| NPI | 1639205206 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: PA MD492254) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: HI MD-5955) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2025-11-12 |