NPI | 1669460994 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: MA 54774) |
Enumeration Date | 2005-10-11 |
Last Update Date | 2012-11-19 |