| NPI | 1336381912 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IN 02006823A)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA DO-04311)  | 
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IA DO-04311)  | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IA DO-04311)  | |
| Enumeration Date | 2009-03-30 | 
| Last Update Date | 2025-03-05 |