NPI | 1235409665 |
---|---|
Former Name | LEON WUGOFSKI |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: CA G52680) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G52680) |
Enumeration Date | 2012-01-02 |
Last Update Date | 2012-01-02 |