| NPI | 1700047305 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IN 01068373A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01068373A) |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2021-03-17 |