NPI | 1659347458 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: MN 43221) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 43221) |
Enumeration Date | 2006-02-23 |
Last Update Date | 2020-08-19 |