NPI | 1235276700 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: ID M-15633) |
Additional Taxonomies | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: OR MD25772) |
2083X0100X Preventive Medicine, Occupational Medicine (Licence: OR MD25772) | |
Enumeration Date | 2007-01-31 |
Last Update Date | 2025-02-24 |