NPI | 1457605115 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: CA G49416) |
Enumeration Date | 2012-11-02 |
Last Update Date | 2012-11-02 |