| NPI | 1821160466 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine Preventive Medicine/Occupational Environmental Medicine (Licence: CO 43432) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2014-08-13 |