| NPI | 1093719502 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IN 01042568) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IN 01042568A) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD449780) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD449780) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35.060505) | |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2016-04-22 |