NPI | 1487740338 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A044663) |
Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: CA A044663) |
Enumeration Date | 2006-10-05 |
Last Update Date | 2019-10-28 |