| NPI | 1699747105 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: WI 24456) |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2010-04-05 |