| NPI | 1386604130 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | |
| Primary Taxonomy | 2083P0500X Preventive Medicine Preventive Medicine/Occupational Environmental Medicine (Licence: IN 01053219A) |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2022-07-21 |