| NPI | 1508028903 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: WA OP60135718) |
| Additional Taxonomies | 2083A0100X Preventive Medicine Aerospace Medicine (Licence: WA OP60135718) |
| 2083X0100X Preventive Medicine Occupational Medicine (Licence: WA OP60135718) | |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2023-06-09 |