NPI | 1871858910 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: CA A168815) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301100525) |
2083X0100X Preventive Medicine, Occupational Medicine (Licence: WA MD60818570) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-07-04 |
Last Update Date | 2021-11-29 |