NPI | 1538789813 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: WI 77574) |
Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: UT 12985104-1205) |
Enumeration Date | 2020-04-16 |
Last Update Date | 2024-09-09 |