NPI | 1750331674 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: NE 12845) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NE 12845) |
Enumeration Date | 2006-05-11 |
Last Update Date | 2014-08-29 |