| NPI | 1770107989 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: HI 22077) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: HI 22077) |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2024-09-20 |