| NPI | 1265449169 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: CA G80992) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G80992) |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: CA G80992) | |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2013-02-15 |