NPI | 1518093301 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: CT 027830) |
Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: CT 027830) |
Enumeration Date | 2007-02-26 |
Last Update Date | 2007-07-08 |