| NPI | 1184038846 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine Preventive Medicine/Occupational Environmental Medicine (Licence: NY 304850) |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2021-08-18 |