| NPI | 1720500432 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IN 01084059A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.070593) |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2022-05-27 |