| NPI | 1659395879 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: IN 01057448A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01057448A) |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: IN 01057448A) | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2020-02-06 |