NPI | 1578635033 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: FL ME57480) |
Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: FL ME57480) |
Enumeration Date | 2006-11-13 |
Last Update Date | 2025-04-28 |