| NPI | 1760467542 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: CO 54410) |
| Additional Taxonomies | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: IN 01053271A) |
| 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: CO 54410) | |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: IA 18302) | |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2022-08-04 |