NPI | 1326029760 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: DC MD034602) |
Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD034602) |
Enumeration Date | 2005-11-11 |
Last Update Date | 2023-07-19 |