NPI | 1548261258 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: MD D0029447) |
Enumeration Date | 2005-08-03 |
Last Update Date | 2007-07-08 |