| NPI | 1386870467 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: WA 60547629) |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2015-09-15 |