NPI | 1770782005 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: MI 4301050451) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301050451) |
Enumeration Date | 2007-07-17 |
Last Update Date | 2007-07-17 |