| NPI | 1932121092 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine Preventive Medicine/Occupational Environmental Medicine (Licence: NY 151793) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2015-04-30 |