NPI | 1710367974 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: NV 25520) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NV 25520) |
Enumeration Date | 2015-06-03 |
Last Update Date | 2024-08-08 |