NPI | 1346822616 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: MI 4301510777) |
Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: MI 4301510777) |
Enumeration Date | 2021-04-26 |
Last Update Date | 2024-01-22 |