| NPI | 1669667242 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: WI 56255) |
| Additional Taxonomies | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: TX U0017) |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: IL 036121632) | |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2023-05-13 |