| NPI | 1427423995 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: CO DR.0055957) |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: DC MD035438) |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2015-12-09 |