| NPI | 1245343672 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IN 01079333) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 021525) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CT 021525) | |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2017-10-26 |