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 |