| NPI | 1659447027 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine Preventive Medicine/Occupational Environmental Medicine (Licence: CA G43377) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G43377) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2012-08-20 |