NPI | 1972737047 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: TX G4899) |
Additional Taxonomies | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: TX G4899) |
Enumeration Date | 2009-05-05 |
Last Update Date | 2019-03-21 |