| NPI | 1235137183 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN MD17002) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: TN MD17002) |
| 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: TN MD17002) | |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2024-01-17 |