| NPI | 1023085354 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: CA G43803) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: CA G43803) |
| 207P00000X Emergency Medicine (Licence: CA G43803) | |
| Enumeration Date | 2006-03-06 |
| Last Update Date | 2013-11-07 |