| NPI | 1255316782 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IN 01043875) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IN 01043875) |
| 174400000X Specialist (Licence: IN 01043875) | |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2023-11-16 |