| NPI | 1043203649 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine Occupational Medicine (Licence: IN 01038158A) |
| Additional Taxonomies | 2083A0100X Preventive Medicine Aerospace Medicine (Licence: IN 01038158A) |
| 2083X0100X Preventive Medicine Occupational Medicine (Licence: MI 4301504600) | |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2023-03-07 |