| 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 |