| NPI | 1265427850 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine Occupational Medicine (Licence: CO DR.0068856) |
| Additional Taxonomies | 2083A0100X Preventive Medicine Aerospace Medicine (Licence: IN 01058329A) |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2022-11-11 |