| NPI | 1265513121 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IN 01041335A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01041335A) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2019-10-03 |