| NPI | 1134205933 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: WA MD00018322) |
| Additional Taxonomies | 2083X0100X Preventive Medicine Occupational Medicine (Licence: WA MD00018322) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2011-09-28 |