| NPI | 1023173895 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: IN 01047947) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01047947) |
| 207R00000X Internal Medicine (Licence: IL 036092504) | |
| 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: IN 01047947) | |
| 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: IL 036092504) | |
| 208D00000X General Practice (Licence: IL 036092504) | |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2013-03-21 |