NPI | 1780604918 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 21829) |
Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: SC 21829) |
2083X0100X Preventive Medicine, Occupational Medicine (Licence: SC 21829) | |
Enumeration Date | 2006-07-20 |
Last Update Date | 2020-10-27 |