| NPI | 1821305269 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: IL 125060324) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: IN 01080808A) |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2019-05-08 |