| NPI | 1124272679 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: CA 183909) |
| Additional Taxonomies | 2083B0002X Preventive Medicine, Obesity Medicine (Licence: CA 183909) |
| 2083B0002X Preventive Medicine, Obesity Medicine (Licence: VA 0101246202) | |
| 2083C0008X Preventive Medicine, Clinical Informatics Specialist (Licence: CA 183909) | |
| 2083C0008X Preventive Medicine, Clinical Informatics Specialist (Licence: VA 0101246202) | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: CA 183909) | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: VA 0101246202) | |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: VA 0101246202) | |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2024-05-01 |