| NPI | 1962595561 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: CA G29849) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2019-02-01 |