| NPI | 1598887754 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083X0100X Preventive Medicine Occupational Medicine (Licence: FL ME 57015) |
| Additional Taxonomies | 202C00000X Independent Medical Examiner (Licence: FL ME 57015) |
| 2083A0100X Preventive Medicine Aerospace Medicine (Licence: FL ME 57015) | |
| 2083P0500X Preventive Medicine Preventive Medicine/Occupational Environmental Medicine (Licence: FL ME 57015) | |
| 2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: FL ME 57015) | |
| 2083T0002X Preventive Medicine Medical Toxicology (Licence: FL ME 57015) | |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2021-11-02 |