| NPI | 1558368308 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: IN 02000753A) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: IN 02000753A) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2019-04-03 |