| NPI | 1841448917 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: CA A114323) |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: CA A114323) |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: FL ME108383) | |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: GA 63777) | |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2020-03-30 |