| NPI | 1194038281 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX R7842)  | 
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IN 01076310)  | 
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IN 01076310)  | |
| Enumeration Date | 2010-07-19 | 
| Last Update Date | 2018-11-07 |