| NPI | 1578532305 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: IN 01030600A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01030600A) |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2012-07-23 |