| NPI | 1093154635 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME166286) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IN 01082653A) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101264998) | |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2024-04-05 |