| 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 |