NPI | 1437353489 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: VA 0101239447) |
Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101239447) |
Enumeration Date | 2007-06-13 |
Last Update Date | 2022-07-21 |