NPI | 1194846113 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA04684000) |
Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: NJ 25MA04684000) |
Enumeration Date | 2007-04-03 |
Last Update Date | 2007-07-08 |