NPI | 1982742805 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: PR 2300) |
Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: PR 2300) |
Enumeration Date | 2007-02-02 |
Last Update Date | 2024-12-08 |