NPI | 1740227198 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: RI 08772) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI 8772) |
Enumeration Date | 2006-06-01 |
Last Update Date | 2012-02-07 |