| NPI | 1801239892 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: MN 62362) |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2019-06-24 |