| NPI | 1588124572 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: NY 3439922) |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2025-07-17 |