| NPI | 1013173137 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: FL OS17706) |
| Additional Taxonomies | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: GA 63465) |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: GA 63465) | |
| 208D00000X General Practice (Licence: GA 63465) | |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2021-09-20 |