NPI | 1043522618 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: FL ME121189) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME121189) |
Enumeration Date | 2010-07-12 |
Last Update Date | 2020-01-09 |