| NPI | 1851383012 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IN 01058321A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01058321A) |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2010-10-08 |