| NPI | 1760460950 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: NV 11465) |
| Additional Taxonomies | 207SG0202X Medical Genetics, Clinical Biochemical Genetics (Licence: NV 11465) |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2010-08-09 |