NPI | 1770900029 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: CO 24549) |
Enumeration Date | 2014-03-25 |
Last Update Date | 2021-06-23 |