NPI | 1518000538 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208D00000X General Practice (Licence: NV 9947) |
Additional Taxonomies | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: NV 9947) |
Enumeration Date | 2007-02-15 |
Last Update Date | 2024-10-04 |