| NPI | 1275593964 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IN 01066423) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 200300696) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 200300696) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IN 01066423) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 200300696) | |
| 208000000X Pediatrics (Licence: NC 200300696) | |
| Enumeration Date | 2006-03-25 |
| Last Update Date | 2020-12-30 |