| NPI | 1821222472 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine Preventive Medicine/Occupational Environmental Medicine (Licence: CT 053092) |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2015-11-09 |