NPI | 1760778369 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: NE 959) |
Additional Taxonomies | 208D00000X General Practice (Licence: NE 959) |
Enumeration Date | 2011-06-22 |
Last Update Date | 2020-06-01 |