| NPI | 1417019753 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: SC 87134) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: IN 01087340A) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: AZ 19722) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: IN 01087340A) | |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2023-09-01 |