| NPI | 1518114362 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: NJ MB50413) |
| Additional Taxonomies | 202C00000X Independent Medical Examiner (Licence: NJ MB50413) |
| 207Q00000X Family Medicine (Licence: NJ MB50413) | |
| Enumeration Date | 2008-08-23 |
| Last Update Date | 2008-08-23 |