NPI | 1710007398 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 02005007A) |
Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: WI 46310) |
Enumeration Date | 2007-03-29 |
Last Update Date | 2017-06-20 |