| NPI | 1871619080 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine Occupational Medicine (Licence: OR MD181530) |
| Additional Taxonomies | 2083X0100X Preventive Medicine Occupational Medicine (Licence: IN 01037871A) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2022-12-02 |