NPI | 1609078823 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: CA C52639) |
Enumeration Date | 2007-06-01 |
Last Update Date | 2007-07-08 |