| NPI | 1275660888 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 261QC1800X Clinic/Center, Corporate Health (Licence: IN 25391) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2009-11-23 |