| NPI | 1659375004 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: MD D0037857) |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2023-11-02 |