| NPI | 1245612969 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: FL ME141497) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: PA MD468233) |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: MD D0088242) | |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: GA 83897) | |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: VA 0101267722) | |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: MI 4301500489) | |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: AZ 59141) | |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: AL 38550) | |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: AR E-12568) | |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: AK 150879) | |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: KY 53070) | |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: IN 01078523A) | |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: CA A165176) | |
| 208D00000X General Practice (Licence: WV 28795) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2025-01-27 |