| NPI | 1629058680 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IN 01052847A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01052847A) |
| 208D00000X General Practice (Licence: IN 01052847A) | |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2020-09-28 |