| NPI | 1164425880 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083A0100X Preventive Medicine Aerospace Medicine (Licence: IN 01048172A) |
| Additional Taxonomies | 2083S0010X Preventive Medicine Sports Medicine (Licence: IN 01048172A) |
| 208D00000X General Practice (Licence: IN 01048172A) | |
| 2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: IN 01048172A) | |
| 208U00000X Clinical Pharmacology (Licence: IN 01048172A) | |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2019-09-20 |