| NPI | 1992911051 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 202C00000X Independent Medical Examiner (Licence: SC 11261) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: SC 11261) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2007-07-08 |