NPI | 1477608214 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 261QX0100X Clinic/Center, Occupational Medicine (Licence: TN 019916) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN MD19916) |
Enumeration Date | 2007-01-24 |
Last Update Date | 2010-02-18 |