| NPI | 1558489716 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine Preventive Medicine/Occupational Environmental Medicine (Licence: NJ 25MA04214600) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2010-04-02 |