NPI | 1114055787 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: IN 01059461A) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036068695) |
207R00000X Internal Medicine (Licence: IN 01059461A) | |
2083X0100X Preventive Medicine, Occupational Medicine (Licence: IL 036068695) | |
Enumeration Date | 2007-03-02 |
Last Update Date | 2017-10-13 |