| NPI | 1326491903 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: IN 01081058A) |
| Additional Taxonomies | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: IN 01081058A) |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: IN 01081058A) | |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2023-11-22 |