NPI | 1306822812 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: OH 35048006K) |
Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: KY 39072) |
Enumeration Date | 2005-12-16 |
Last Update Date | 2016-11-30 |