| NPI | 1366765448 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: CA G32397) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G32397) |
| 174400000X Specialist (Licence: CA G32397) | |
| Enumeration Date | 2010-03-03 |
| Last Update Date | 2023-01-11 |