NPI | 1922294479 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: IN 01055708A) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01055708A) |
Enumeration Date | 2007-09-19 |
Last Update Date | 2017-01-17 |