NPI | 1518171826 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: CA A81334) |
Additional Taxonomies | 208D00000X General Practice (Licence: CA A81334) |
Enumeration Date | 2007-05-09 |
Last Update Date | 2023-03-07 |