| NPI | 1508848433 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01024689A) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: IN 01024689A) |
| 207KA0200X Allergy & Immunology, Allergy (Licence: IN 01024689A) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IN 01024689A) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IN 01024689A) | |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2025-03-08 |