| NPI | 1962216101 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: NH 1113) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: OH OTA008403) |
| Enumeration Date | 2025-02-06 |
| Last Update Date | 2025-02-06 |