| NPI | 1104907559 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NV 15402) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IN 01063719a) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IN 01063719A) | |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2021-09-27 |