NPI | 1962494724 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: OH 35062725) |
Enumeration Date | 2005-08-18 |
Last Update Date | 2007-07-09 |