| NPI | 1740740869 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 02006203A) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IN 02006203A) |
| Enumeration Date | 2019-03-24 |
| Last Update Date | 2026-05-20 |