| NPI | 1750374237 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01026833A) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: IN 01026833A) |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2008-08-04 |