| NPI | 1003843665 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: IN 01032804) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 36070247) |
| 207P00000X Emergency Medicine (Licence: IN 01032804) | |
| 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: IL 36070247) | |
| 2083S0010X Preventive Medicine, Sports Medicine (Licence: IL 36070247) | |
| 2083S0010X Preventive Medicine, Sports Medicine (Licence: IN 01032804) | |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2020-10-06 |