| NPI | 1205929296 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: CA A88090) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A88090) |
| 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: CA A88090) | |
| 208D00000X General Practice (Licence: CA A88090) | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2023-10-02 |