| NPI | 1265437255 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: IN 01052391A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01052391A) |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2010-05-07 |