| NPI | 1437260213 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA g83518) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: CA G83518) |
| 207Q00000X Family Medicine (Licence: TX N8043) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2017-03-10 |