NPI | 1669479168 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: SD 3770) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SD 3770) |
Enumeration Date | 2005-06-30 |
Last Update Date | 2013-12-03 |