| NPI | 1841618956 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: UT 9857459) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: MI 4301108523) |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: CA A145248) | |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2022-02-11 |