| NPI | 1487771374 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: IN 01061419A)  | 
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: IN 01061419A)  | 
| Enumeration Date | 2007-03-23 | 
| Last Update Date | 2025-09-11 |