| NPI | 1043652514 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: KS 05-45201) |
| Additional Taxonomies | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: KS 05-45201) |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2024-01-11 |