| NPI | 1831336965 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: ME MD24791) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: WI 63024-20) |
| Enumeration Date | 2009-01-12 |
| Last Update Date | 2023-12-11 |