| NPI | 1982699757 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: TX K0904) |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2025-10-23 |