| NPI | 1063612687 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IN 01073430A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301089823) |
| Enumeration Date | 2007-07-21 |
| Last Update Date | 2020-12-31 |