| NPI | 1669595989 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: CA RN397773) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: CA NPF10607) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2007-07-08 |