NPI | 1225177975 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: VA 0101245896) |
Additional Taxonomies | 251K00000X Public Health or Welfare (Licence: MI JP049321) |
Enumeration Date | 2007-02-06 |
Last Update Date | 2009-07-10 |