| NPI | 1134430564 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IN 01079941A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME131165) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME131165) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME131165) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT197922) | |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2021-03-02 |