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 |