| NPI | 1477603512 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083A0100X Preventive Medicine Aerospace Medicine (Licence: IN 02003427A) |
| Additional Taxonomies | 2083X0100X Preventive Medicine Occupational Medicine (Licence: IN 02003427A) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2023-12-07 |