| NPI | 1366509259 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: WA MD000031471) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2009-03-16 |