| NPI | 1235199613 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX H8198) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IN 01075532) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IN 01075532A) | |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2024-03-21 |