| NPI | 1376954701 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: AZ 58925) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: AZ 58925) |
| 171100000X Acupuncturist (Licence: IN 01076045A) | |
| 171100000X Acupuncturist (Licence: CA C167244) | |
| 171100000X Acupuncturist (Licence: WA MD61188901) | |
| 207PT0002X Emergency Medicine, Medical Toxicology (Licence: AZ 58925) | |
| 207PT0002X Emergency Medicine, Medical Toxicology (Licence: CA C167244) | |
| 207PT0002X Emergency Medicine, Medical Toxicology (Licence: WA MD61188901) | |
| 207PT0002X Emergency Medicine, Medical Toxicology (Licence: IN 01076045A) | |
| 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: WA MD61188901) | |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: WA MD61188901) | |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: CA C167244) | |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: IN 01076045A) | |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2022-07-16 |