NPI | 1588680011 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301047789) |
Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: MI 4301047789) |
Enumeration Date | 2006-07-15 |
Last Update Date | 2007-07-08 |