NPI | 1528023066 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: OK 27568) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 27568) |
Enumeration Date | 2006-04-18 |
Last Update Date | 2022-12-21 |