NPI | 1851419972 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: PR 6688) |
Enumeration Date | 2007-03-27 |
Last Update Date | 2023-01-30 |