| NPI | 1316385156 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083C0008X Preventive Medicine, Clinical Informatics Specialist (Licence: MA 274072) |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: MA 274072) |
| 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: MA 274072) | |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2023-04-10 |