NPI | 1992920276 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: CT 054563) |
Additional Taxonomies | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: ME 017688) |
2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: CT 054563) | |
Enumeration Date | 2007-04-13 |
Last Update Date | 2015-11-11 |