NPI | 1205923224 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: CA G79406) |
Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: CA G79406) |
Enumeration Date | 2006-10-10 |
Last Update Date | 2024-08-26 |