NPI | 1669669354 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: CA A98921) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A98921) |
Enumeration Date | 2007-09-27 |
Last Update Date | 2022-11-10 |