NPI | 1326012907 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2083P0500X Preventive Medicine Preventive Medicine/Occupational Environmental Medicine (Licence: WA OP60589108) |
Enumeration Date | 2006-02-13 |
Last Update Date | 2021-05-05 |