| NPI | 1487716411 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: CA C54234) |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: NC 36162) |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: FL ME 79276) | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: NV 14424) | |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2019-09-23 |