NPI | 1700416617 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: UT 14238975-1205) |
Enumeration Date | 2020-01-20 |
Last Update Date | 2025-09-03 |