| NPI | 1912022799 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083P0500X Preventive Medicine Preventive Medicine/Occupational Environmental Medicine (Licence: TX J8093) |
| Additional Taxonomies | 2083P0500X Preventive Medicine Preventive Medicine/Occupational Environmental Medicine (Licence: AR E3023) |
| 209800000X Legal Medicine (Licence: AR E3023) | |
| 2083P0500X Preventive Medicine Preventive Medicine/Occupational Environmental Medicine (Licence: MI 4301-046132) | |
| 209800000X Legal Medicine (Licence: MI 4301-046132) | |
| 2083P0500X Preventive Medicine Preventive Medicine/Occupational Environmental Medicine (Licence: CA G66169) | |
| 209800000X Legal Medicine (Licence: CA G66169) | |
| 207Q00000X Family Medicine (Licence: AR E3023) | |
| 207Q00000X Family Medicine (Licence: MI 4301-046132) | |
| 207Q00000X Family Medicine (Licence: TX J8093) | |
| 209800000X Legal Medicine (Licence: TX J8093) | |
| 2083A0100X Preventive Medicine Aerospace Medicine (Licence: TX J8093) | |
| 2083X0100X Preventive Medicine Occupational Medicine (Licence: NY 254959) | |
| 207Q00000X Family Medicine (Licence: NY 254959) | |
| 207QA0401X Family Medicine Addiction Medicine (Licence: TX J8093) | |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2012-09-06 |