NPI | 1982896262 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: NM 2003-0252) |
Enumeration Date | 2007-08-10 |
Last Update Date | 2007-08-10 |