| NPI | 1740561620 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: VA 0101054840) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: CA G 071466) |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: MN 033 027 5) | |
| Enumeration Date | 2011-09-06 |
| Last Update Date | 2011-09-07 |