| NPI | 1134261829 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: CA G47665) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA G47665) |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: CA G47665) | |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2008-04-30 |