| NPI | 1174928865 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01079262A) |
| Additional Taxonomies | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: IN 01079262A) |
| Enumeration Date | 2014-10-24 |
| Last Update Date | 2023-07-05 |