| NPI | 1972792174 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: CO DR-46071) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CO DR46071) |
| 207R00000X Internal Medicine (Licence: CO dr46071) | |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2024-07-04 |