| NPI | 1255535613 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: TN 44770) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: AR E-5703) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: MS 29006) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: AR E-5703) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: TN MD44770) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: MS 29006) | |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2023-03-27 |