| NPI | 1821262718 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: NM 94310) |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2024-04-20 |