| NPI | 1013972520 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: CA C160186) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2006-1152) |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: NC 2006-01152) | |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2024-03-26 |