NPI | 1144481128 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: MD D0088840) |
Additional Taxonomies | 208D00000X General Practice (Licence: MD D0088840) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2008-06-23 |
Last Update Date | 2020-07-01 |