NPI | 1437128014 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01052084A) |
Additional Taxonomies | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: IN 01052084A) |
Enumeration Date | 2006-03-16 |
Last Update Date | 2007-07-08 |