NPI | 1285715268 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: MA 35844) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 35844) |
Enumeration Date | 2006-10-18 |
Last Update Date | 2013-12-16 |