NPI | 1083671184 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: OH 35056158) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35056158) |
Enumeration Date | 2006-05-01 |
Last Update Date | 2011-03-02 |