NPI | 1528189958 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: ME 1595) |
Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: ME 1595) |
Enumeration Date | 2007-04-03 |
Last Update Date | 2009-09-14 |