| NPI | 1356427058 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: HI md-14975) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NM MD2005-0814) |
| 207P00000X Emergency Medicine (Licence: HI MD-14975) | |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2023-01-20 |