NPI | 1174503007 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: MN 47913) |
Enumeration Date | 2006-01-18 |
Last Update Date | 2007-07-08 |