| NPI | 1629099908 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01048895) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: IN 01048895) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2010-06-16 |