| NPI | 1316231285 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: SC 828988) |
| Additional Taxonomies | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: VA 0102203210) |
| 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: SC 82988) | |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2026-01-23 |