| NPI | 1255605192 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: CA Go38062) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G038062) |
| Enumeration Date | 2012-02-23 |
| Last Update Date | 2015-12-23 |