| NPI | 1053673160 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME154480) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01093552A) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IN 01093552A) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME154480) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IN 01093552A) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME154480) | |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2024-05-15 |