NPI | 1467414714 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: IN 02002352A) |
Additional Taxonomies | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: IN 02002352A) |
207Q00000X Family Medicine (Licence: IN 02002352A) | |
Enumeration Date | 2006-04-03 |
Last Update Date | 2023-03-28 |