| NPI | 1033524574 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083A0100X Preventive Medicine Aerospace Medicine (Licence: VA 0101258810) |
| Additional Taxonomies | 2083X0100X Preventive Medicine Occupational Medicine (Licence: VA 0101258810) |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2024-07-17 |