| NPI | 1235336520 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: IN 02003199A) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2014-05-27 |