| NPI | 1942648076 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083P0500X Preventive Medicine Preventive Medicine/Occupational Environmental Medicine (Licence: SC 86458) |
| Additional Taxonomies | 2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: NY 301760-01) |
| 2083X0100X Preventive Medicine Occupational Medicine (Licence: IN 01074387A) | |
| 2083X0100X Preventive Medicine Occupational Medicine (Licence: NY 301760-01) | |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2024-10-30 |