NPI | 1871751206 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2083X0100X Preventive Medicine Occupational Medicine (Licence: CA C38951) |
Additional Taxonomies | 207QA0505X Family Medicine Adult Medicine (Licence: CA C38951) |
Enumeration Date | 2008-06-02 |
Last Update Date | 2013-08-26 |