| NPI | 1699855312 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: AZ TP01378) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: IN 01029538) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2022-06-16 |