| NPI | 1598766321 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IN 01038701A) |
| Additional Taxonomies | 174400000X Specialist (Licence: IN 01038701A) |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2017-05-24 |