NPI | 1255459558 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ID M-9075) |
Additional Taxonomies | 2083A0100X Preventive Medicine Aerospace Medicine (Licence: ID M-9075) |
2083X0100X Preventive Medicine Occupational Medicine (Licence: ID M-9075) | |
Enumeration Date | 2007-03-26 |
Last Update Date | 2024-08-22 |