| NPI | 1740644392 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IN 01082378A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01082378A) |
| 207R00000X Internal Medicine (Licence: OH 57.028325) | |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2022-08-23 |