| NPI | 1144520032 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA A1338879) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: CA A138879) |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2022-08-10 |