| NPI | 1982744900 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine Occupational Medicine (Licence: FL ME154537) |
| Additional Taxonomies | 2083A0100X Preventive Medicine Aerospace Medicine (Licence: FL ME154537) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2023-04-21 |