| NPI | 1477008670 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IN 01090523A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 7852) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MN 67116) | |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2024-01-15 |