| NPI | 1285603399 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: AL 38430) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: AL 38430) |
| 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: IN 01049082A) | |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: IN 01049082A) | |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2019-10-13 |