NPI | 1033272125 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: OH 35-04-9694) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35-04-9694) |
2083X0100X Preventive Medicine, Occupational Medicine (Licence: OH 35-04-9694) | |
Enumeration Date | 2006-12-19 |
Last Update Date | 2015-04-20 |