| NPI | 1518957653 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: WA MD00028597) |
| Additional Taxonomies | 202C00000X Independent Medical Examiner (Licence: WA MD00028597) |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2023-05-04 |