NPI | 1750623187 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: NC 20843) |
Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: SC 14356) |
Enumeration Date | 2013-03-24 |
Last Update Date | 2013-03-24 |