| NPI | 1750369146 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: OH 34.010507)  | 
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: OH 34.010507)  | 
| 208U00000X Clinical Pharmacology (Licence: IN 02002509A)  | |
| Enumeration Date | 2006-01-05 | 
| Last Update Date | 2023-12-05 |