| NPI | 1083847206 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: TN 51769) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN MD51769) |
| Enumeration Date | 2009-09-03 |
| Last Update Date | 2017-04-18 |