NPI | 1871578492 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: MN 24683) |
Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: WI 21721) |
Enumeration Date | 2005-12-07 |
Last Update Date | 2011-02-14 |