NPI | 1851394399 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: FL ME37951) |
Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: TX M4802) |
Enumeration Date | 2005-05-28 |
Last Update Date | 2015-12-10 |