NPI | 1003983818 |
---|---|
Other Name | JOE R. SMITH |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: OR MD157761) |
Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: WA MD00026122) |
Enumeration Date | 2006-11-29 |
Last Update Date | 2021-01-28 |