NPI | 1972583631 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: OH 35.052455) |
Enumeration Date | 2006-01-19 |
Last Update Date | 2012-02-10 |