| NPI | 1962413146 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: OK 15793) |
| Additional Taxonomies | 2083T0002X Preventive Medicine, Medical Toxicology (Licence: OK 15793) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2007-08-14 |