| NPI | 1700032554 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: MI 4301104078) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: VA 0101246099) |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: NC 2011-00668) | |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2020-03-13 |