NPI | 1134266695 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: GA 038370) |
Additional Taxonomies | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: CA G60378) |
2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: FL ME 79048) | |
2083X0100X Preventive Medicine, Occupational Medicine (Licence: TX K9670) | |
Enumeration Date | 2007-01-31 |
Last Update Date | 2007-07-08 |