NPI | 1962436477 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2083P0500X Preventive Medicine Preventive Medicine/Occupational Environmental Medicine (Licence: OH 35.056782) |
Enumeration Date | 2006-07-10 |
Last Update Date | 2007-07-08 |