NPI | 1114154960 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: KS 0440613) |
Enumeration Date | 2009-06-19 |
Last Update Date | 2025-04-10 |