| NPI | 1194286286 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AR E-16159) | 
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AR E-16159) | 
| Enumeration Date | 2019-03-29 | 
| Last Update Date | 2025-09-21 |