NPI | 1225199532 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2083X0100X Preventive Medicine Occupational Medicine (Licence: TX E1057) |
Additional Taxonomies | 208D00000X General Practice (Licence: TX E1057) |
Enumeration Date | 2006-12-12 |
Last Update Date | 2014-04-15 |