| NPI | 1760565402 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: IN 01028597A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01028597A) |
| 208100000X Physical Medicine & Rehabilitation (Licence: IN 01028597A) | |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2022-03-28 |