| NPI | 1669465449 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: CA C172660) |
| Additional Taxonomies | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: CA C172660) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: CA C172660) | |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2024-01-18 |