| NPI | 1336454404 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: IN 02005047A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 02005047A) |
| 207R00000X Internal Medicine (Licence: IL 036.132223) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: IL 036.132223) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: IL 036.132223) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: IN 02005047A) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 125057521) | |
| Enumeration Date | 2010-08-13 |
| Last Update Date | 2021-12-27 |