| NPI | 1942430699 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: OR MD15703) |
| Additional Taxonomies | 2083T0002X Preventive Medicine, Medical Toxicology (Licence: OR MD15703) |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2009-07-15 |