NPI | 1164836185 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: HI DOS-2719) |
Additional Taxonomies | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: HI DOS-2719) |
Enumeration Date | 2014-06-18 |
Last Update Date | 2025-09-05 |