| NPI | 1710131511 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: TX Q1909) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.015588) |
| 207R00000X Internal Medicine (Licence: IN 01068141A) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: IN 01068141A) | |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2023-08-24 |