| NPI | 1427150408 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: OR MD16517) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: AR C 6701) |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: WA MD00032890) | |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2022-02-04 |