| NPI | 1750543146 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: VA 0101274639) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: TN 43499) |
| 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: TN MD0000043499) | |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2023-09-15 |