NPI | 1366416216 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: CA AO54592) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A054592) |
Enumeration Date | 2006-02-16 |
Last Update Date | 2023-11-01 |