| NPI | 1730716853 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: NJ 25MA11621000) |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2024-06-04 |