| NPI | 1528158201 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IN 01075552A) | 
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO 30744) | 
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IN 01075552A) | |
| Enumeration Date | 2006-10-13 | 
| Last Update Date | 2015-08-26 |