| NPI | 1447343967 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: WA MD00016756) |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: WA MD00016756) |
| 202C00000X Independent Medical Examiner (Licence: WA MD00016756) | |
| 208D00000X General Practice (Licence: WA MD00016756) | |
| 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: WA MD00016756) | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2023-03-07 |