| NPI | 1902103062 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: ME MD20734) |
| Enumeration Date | 2011-02-24 |
| Last Update Date | 2019-07-18 |