| NPI | 1194874578 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: TN 60631) |
| Additional Taxonomies | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: TN 60631) |
| 207Q00000X Family Medicine (Licence: TN 60631) | |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2026-02-05 |