| NPI | 1801911268 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: GA 025918) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2009-09-02 |