NPI | 1063614139 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: CA G83623) |
Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: KS 04-30732) |
Enumeration Date | 2007-06-01 |
Last Update Date | 2023-06-13 |