NPI | 1487804068 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: CO DR.0056211) |
Additional Taxonomies | 208D00000X General Practice (Licence: VA 0101244018) |
Enumeration Date | 2008-09-19 |
Last Update Date | 2020-12-28 |