NPI | 1629043310 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: NY 185519-1) |
Additional Taxonomies | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: NY 185519-1) |
Enumeration Date | 2006-02-17 |
Last Update Date | 2015-08-25 |