| NPI | 1245221696 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IN 01081109A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 210099) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 210099) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IN 01081109A) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 210099) | |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2023-03-13 |