| NPI | 1578604567 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: IN 01037649) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01037649) |
| 207R00000X Internal Medicine (Licence: IL 036-073679) | |
| 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: IL 036-073679) | |
| Enumeration Date | 2007-02-11 |
| Last Update Date | 2024-03-11 |