NPI | 1831271402 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: IL 036079645) |
Additional Taxonomies | 208600000X Surgery (Licence: IL 036079645) |
Enumeration Date | 2006-10-20 |
Last Update Date | 2007-07-08 |