NPI | 1366493983 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: MA 157492) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 157492) |
Enumeration Date | 2006-05-16 |
Last Update Date | 2011-03-17 |