| NPI | 1285712190 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: CA A78382) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A78382) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2011-11-09 |