| NPI | 1790946911 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: VA 0101263831) |
| Additional Taxonomies | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: VA 0101263831) |
| 208D00000X General Practice (Licence: VA 0101263831) | |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2026-03-04 |