| 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 |