NPI | 1164470043 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: PA 429086) |
Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: UT 4792122-1205) |
2083X0100X Preventive Medicine, Occupational Medicine (Licence: ND 10624) | |
Enumeration Date | 2006-05-04 |
Last Update Date | 2024-04-26 |