NPI | 1619186459 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: AZ 36235) |
Additional Taxonomies | 174400000X Specialist (Licence: AZ 36235) |
Enumeration Date | 2007-05-21 |
Last Update Date | 2024-02-22 |