| NPI | 1679535264 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: IA BG3266322) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: IL 036-089673) |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: IA 29370) | |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2021-09-30 |