NPI | 1467587790 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: LA MD.200560) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: LA MD.200560) |
Enumeration Date | 2007-02-23 |
Last Update Date | 2015-02-25 |