NPI | 1639464464 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: IN 02004066A) |
Additional Taxonomies | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: IN 02004066A) |
Enumeration Date | 2011-06-09 |
Last Update Date | 2019-07-19 |