| NPI | 1306873096 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: VA 0102201469) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0102201469) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: VA 0102201469) | |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2024-09-13 |