NPI | 1972551877 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: FL OS 5868) |
Additional Taxonomies | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: FL OS5868) |
Enumeration Date | 2006-05-04 |
Last Update Date | 2013-02-12 |