NPI | 1386731388 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 05-19473) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO R4B86) |
2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: KS 05-19473) | |
2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: MO R4B86) | |
Enumeration Date | 2006-10-10 |
Last Update Date | 2007-07-08 |