| NPI | 1114967932 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IN 01063003A) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IN 01063003A) |
| 207R00000X Internal Medicine (Licence: OH 35085776) | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2020-12-18 |