| NPI | 1033266192 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: IN 01063098A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01063098A) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2024-07-23 |