NPI | 1790822625 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD20480) |
Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: OR MD20480) |
Enumeration Date | 2007-01-31 |
Last Update Date | 2023-11-07 |