NPI | 1649590787 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: WI 66763) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA08754100) |
Enumeration Date | 2010-06-10 |
Last Update Date | 2020-09-14 |