| NPI | 1609988633 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: CA G55184) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA G55184) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2016-08-18 |