| NPI | 1013972298 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G54987) |
| Additional Taxonomies | 2083T0002X Preventive Medicine, Medical Toxicology (Licence: CA G54987) |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: CA G54987) | |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2008-07-22 |