| NPI | 1497873806 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine Occupational Medicine (Licence: CA A55030) |
| Additional Taxonomies | 2083X0100X Preventive Medicine Occupational Medicine (Licence: NV 7990) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2012-10-26 |