NPI | 1083926752 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: MI 5101010319) |
Additional Taxonomies | 246YC3302X Spec/Tech, Health Info, Coding Specialist, Physician Office Based (Licence: TX P1200) |
Enumeration Date | 2010-07-09 |
Last Update Date | 2021-02-26 |