NPI | 1184643504 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: NY 131934) |
Enumeration Date | 2006-07-18 |
Last Update Date | 2010-06-07 |