| 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 |