| NPI | 1467496547 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01060031A) |
| Additional Taxonomies | 2083X0100X Preventive Medicine Occupational Medicine (Licence: IN 01060031A) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2007-07-08 |