| NPI | 1871605006 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: NJ MA45199) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MP00242000) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2024-04-23 |