NPI | 1447248380 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX J8928) |
Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: TX J8928) |
Enumeration Date | 2005-10-13 |
Last Update Date | 2008-06-18 |