NPI | 1376774901 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 55786) |
Additional Taxonomies | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: MN 106110) |
2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: MN 55786) | |
Enumeration Date | 2009-07-30 |
Last Update Date | 2014-07-10 |