NPI | 1497825038 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: CA C194500) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 00027625) |
2083X0100X Preventive Medicine, Occupational Medicine (Licence: AL MD.27625) | |
Enumeration Date | 2006-11-09 |
Last Update Date | 2024-04-09 |