NPI | 1376954701 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: AZ 58925) |
Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: UT 14130703-1205) |
2083X0100X Preventive Medicine, Occupational Medicine (Licence: IN 01076045A) | |
2083T0002X Preventive Medicine, Medical Toxicology (Licence: UT 14130703-1205) | |
2083T0002X Preventive Medicine, Medical Toxicology (Licence: IN 01076045A) | |
2083T0002X Preventive Medicine, Medical Toxicology (Licence: CA C167244) | |
2083X0100X Preventive Medicine, Occupational Medicine (Licence: WA MD61188901) | |
2083X0100X Preventive Medicine, Occupational Medicine (Licence: CA C167244) | |
2083T0002X Preventive Medicine, Medical Toxicology (Licence: AZ 58925) | |
Enumeration Date | 2014-05-20 |
Last Update Date | 2025-05-14 |