| NPI | 1205824216 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine Occupational Medicine (Licence: IN 02002552A) |
| Additional Taxonomies | 2083A0100X Preventive Medicine Aerospace Medicine (Licence: IN 02002552A) |
| 208D00000X General Practice (Licence: IN 02002552A) | |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2022-03-10 |