NPI | 1003349432 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: CA A158216) |
Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: CA A158216) |
Enumeration Date | 2017-04-03 |
Last Update Date | 2024-01-24 |