NPI | 1699705467 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VT 363A00000X) |
Additional Taxonomies | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: VT 0320000527) |
Enumeration Date | 2006-07-04 |
Last Update Date | 2017-01-11 |