| NPI | 1679536825 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: WI 41820) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: MN 24986) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2023-06-01 |