NPI | 1336119874 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 02002144A) |
Additional Taxonomies | 2083A0100X Preventive Medicine Aerospace Medicine (Licence: IN 02002144A) |
Enumeration Date | 2006-01-26 |
Last Update Date | 2019-04-18 |