| NPI | 1235351222 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: NY 245721) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA07931400) |
| 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: NJ 25MA07931400) | |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: NJ 25MA07931400) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2021-03-04 |