| NPI | 1417916073 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IN 01033451) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01033451A) |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2026-04-15 |