| NPI | 1780825182 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 202D00000X Integrative Medicine (Licence: IN 02003589A) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: IN 02003589A) |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: IN 02003589A) | |
| 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: IN 02003589A) | |
| 207QB0002X Family Medicine, Bariatric Medicine (Licence: IN 02003589A) | |
| 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: IN 02003589A) | |
| 202C00000X Independent Medical Examiner (Licence: IN 02003589A) | |
| 207QA0505X Family Medicine, Adult Medicine (Licence: IN 02003589A) | |
| Enumeration Date | 2009-03-13 |
| Last Update Date | 2025-09-08 |