NPI | 1831204106 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: MI 5101006955) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5101006955) |
Enumeration Date | 2006-08-20 |
Last Update Date | 2014-04-09 |