| NPI | 1992169932 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: IN 01078888A) |
| Additional Taxonomies | 2083A0100X Preventive Medicine Aerospace Medicine (Licence: IN 01078888A) |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2021-03-08 |