| NPI | 1285884726 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083A0100X Preventive Medicine Aerospace Medicine (Licence: IN 01066284A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01066284A) |
| Enumeration Date | 2008-09-21 |
| Last Update Date | 2023-08-03 |