NPI | 1760490031 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C42115) |
Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: CA C42115) |
Enumeration Date | 2006-08-03 |
Last Update Date | 2015-07-02 |