| 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 |