| NPI | 1750765541 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IN 01087674A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 263793) |
| 207R00000X Internal Medicine (Licence: IN 01087674A) | |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2022-08-02 |