NPI | 1790213775 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: OR DO220132) |
Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: IL 125079814) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-06-02 |
Last Update Date | 2024-09-19 |