| NPI | 1659452969 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 20a6595) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: CA 20A6595) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2025-01-24 |