| NPI | 1083612139 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine Occupational Medicine (Licence: IN 01034452A) |
| Additional Taxonomies | 208600000X Surgery (Licence: IN 01034452) |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2019-12-05 |