| NPI | 1982921706 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: MN 66017) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: CA A118523) |
| 208D00000X General Practice (Licence: CA A118523) | |
| 146L00000X Emergency Medical Technician, Paramedic (Licence: CA P17809) | |
| 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: CA A118523) | |
| 2083C0008X Preventive Medicine, Clinical Informatics Specialist (Licence: CA A118523) | |
| Enumeration Date | 2010-05-04 |
| Last Update Date | 2024-02-08 |