| NPI | 1801057252 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: TN 44687) |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: TN MD44687) |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: MN 51033) | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: MN 103871) | |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2022-03-23 |