| NPI | 1801871827 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: FL OS7279) |
| Additional Taxonomies | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: FL OS7279) |
| 208D00000X General Practice (Licence: FL OS7279) | |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2022-11-17 |