| NPI | 1699187344 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IN 01079418A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.081409) |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2026-04-27 |