| NPI | 1972597748 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: LA MD.022869) |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: LA MD.022869) |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2023-11-03 |