| NPI | 1306926076 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: CA 000000A73679) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A73679) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2022-11-03 |