NPI | 1689673626 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C141682) |
Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: CA C141682) |
Enumeration Date | 2005-07-20 |
Last Update Date | 2020-02-26 |