| NPI | 1801880737 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN MD35607) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN MD0000035607) |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: TN MD0000035607) | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: TN MD35607) | |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2022-06-02 |