| NPI | 1326160425 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: IN 02001521A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 02001521A) |
| 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: IN 02001521A) | |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2009-11-30 |