| NPI | 1528168069 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: IN 01062086A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01062086A) |
| Enumeration Date | 2006-09-24 |
| Last Update Date | 2022-07-22 |