| NPI | 1033770722 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 57.247821) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01092976A) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IN 01092976A) | |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2024-06-04 |