NPI | 1992064471 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: NE 27575) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX BP10043699) |
Enumeration Date | 2012-05-03 |
Last Update Date | 2022-02-10 |