NPI | 1598962136 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: WA MD60811730) |
Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: MD 010124465) |
Enumeration Date | 2007-06-28 |
Last Update Date | 2021-04-28 |