NPI | 1659577823 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A44065) |
Additional Taxonomies | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: CA A44065) |
2083X0100X Preventive Medicine, Occupational Medicine (Licence: CA a44065) | |
209800000X Legal Medicine (Licence: CA a44065) | |
Enumeration Date | 2007-06-25 |
Last Update Date | 2007-07-08 |