| NPI | 1669534293 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: CA g58459) |
| Additional Taxonomies | 251K00000X Public Health or Welfare (Licence: CA g58459) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2008-01-09 |