| NPI | 1992119440 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IN 01085995A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT207398) |
| 207R00000X Internal Medicine (Licence: PA MD463449) | |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2022-10-14 |