| NPI | 1710998422 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: CA G63228) |
| Additional Taxonomies | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: CA G63228) |
| 207R00000X Internal Medicine (Licence: CA G63228) | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2025-09-11 |