| NPI | 1952324402 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: MT MT-PHYS-UC45901) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: CA G48069) |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: WA MD60222687) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2025-10-01 |