NPI | 1487768347 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: UT 10955328-1204) |
Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: TX k2753) |
Enumeration Date | 2006-08-18 |
Last Update Date | 2025-08-18 |