| NPI | 1225010622 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: CA G27973) |
| Additional Taxonomies | 2083X0100X Preventive Medicine Occupational Medicine (Licence: CA G27973) |
| Enumeration Date | 2005-11-19 |
| Last Update Date | 2007-07-09 |