NPI | 1851416010 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G067444) |
Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: CA GO67444) |
Enumeration Date | 2007-03-20 |
Last Update Date | 2011-11-08 |