NPI | 1821216995 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2083P0500X Preventive Medicine Preventive Medicine/Occupational Environmental Medicine (Licence: NM 93-419) |
Enumeration Date | 2007-04-23 |
Last Update Date | 2007-07-08 |