| NPI | 1619950482 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: VA 0101263988) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN Md0000024027) |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: TN Md0000024027) | |
| Enumeration Date | 2005-11-25 |
| Last Update Date | 2018-06-06 |