| NPI | 1851745848 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: HI MD-21287) |
| Enumeration Date | 2016-04-16 |
| Last Update Date | 2026-05-29 |