| NPI | 1053468975 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: CA G059180) |
| Additional Taxonomies | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: CA G059180) |
| 2083T0002X Preventive Medicine, Medical Toxicology (Licence: CA G059180) | |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: CA G059180) | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2007-07-08 |