NPI | 1124057906 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: MI 4301509878) |
Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: MI 4301509878) |
Enumeration Date | 2006-07-02 |
Last Update Date | 2023-09-11 |