| NPI | 1629467105 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01090047A) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD463938) |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2023-08-30 |