| NPI | 1659597656 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: PA MD018547E) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2007-07-08 |