| NPI | 1346362894 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 202C00000X Independent Medical Examiner (Licence: NY 176605-4B) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 176605) |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: NY 176605) | |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2007-07-08 |