NPI | 1487674461 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: CA G69235) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G69235) |
Enumeration Date | 2006-07-20 |
Last Update Date | 2016-09-26 |