| NPI | 1801950308 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: CA G43187) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA G43187) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2009-03-26 |