| NPI | 1437116944 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN MD11393) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: TN MD11393) |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: TN MD11393) | |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2015-06-05 |