NPI | 1528117215 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301033920) |
Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: MI 4301033920) |
Enumeration Date | 2007-01-10 |
Last Update Date | 2010-05-04 |