| NPI | 1417051053 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine Occupational Medicine (Licence: IN 01030085A) |
| Additional Taxonomies | 208D00000X General Practice (Licence: IN 01030085A) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2021-01-20 |