| NPI | 1356338065 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083A0100X Preventive Medicine Aerospace Medicine (Licence: IN 01056228A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01056228A) |
| 2083X0100X Preventive Medicine Occupational Medicine (Licence: IN 01056228A) | |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2020-11-02 |