| NPI | 1558716878 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: IN 01082678A) |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2019-08-20 |