| NPI | 1730449927 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: CT 62333) |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2019-09-10 |