| 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 |