| NPI | 1821305269 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 036132917) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: IL 125060324) |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: IN 01080808A) | |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2025-05-17 |