| NPI | 1922557438 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: PA MD012594E) |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2016-09-26 |