| NPI | 1114984713 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: VA 0101222989) |
| Additional Taxonomies | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: VA 0101222989) |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: CA 128412) | |
| 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: CA 128412) | |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: WA MD60065664) | |
| 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: WA MD60065664) | |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2016-02-17 |