NPI | 1053567479 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: NC 28863) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 28863) |
Enumeration Date | 2008-08-18 |
Last Update Date | 2008-08-18 |