| NPI | 1326139247 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: AZ 4496) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MB05665000) |
| 207Q00000X Family Medicine (Licence: NJ 25MB05665000) | |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2013-04-05 |