| NPI | 1902191539 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: IL 036.132171) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: FL ME 122670) |
| Enumeration Date | 2011-06-11 |
| Last Update Date | 2015-04-22 |