NPI | 1699924415 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: CO 22648) |
Enumeration Date | 2008-09-17 |
Last Update Date | 2008-09-17 |