| NPI | 1295831915 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: UT 11898819-1205) |
| Additional Taxonomies | 208D00000X General Practice (Licence: IN 01062598A) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2020-08-21 |