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 |