| NPI | 1255695524 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IN 01081937A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125060984) |
| Enumeration Date | 2012-07-01 |
| Last Update Date | 2022-10-12 |