| NPI | 1326291915 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: IN 01071860) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036.121927) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2014-01-31 |