| NPI | 1275983744 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036.149567) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: IN 01096830A) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: IL 036.149567) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: WI 3075) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: VA 0101283523) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: IL 036.149567) | |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2025-07-01 |