NPI | 1548401573 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: NY 171294) |
Additional Taxonomies | 209800000X Legal Medicine (Licence: NY 171294) |
Enumeration Date | 2009-03-21 |
Last Update Date | 2024-07-11 |