NPI | 1679731848 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: MI 017099) |
Additional Taxonomies | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: KS 0528238) |
Enumeration Date | 2008-05-23 |
Last Update Date | 2008-05-23 |