NPI | 1891108387 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: CO DR.0058939) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OR PG168153) |
Enumeration Date | 2014-06-03 |
Last Update Date | 2024-08-07 |