| NPI | 1831348747 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: IN 02003546A) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: WA OL60286329) |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2020-08-27 |