| NPI | 1538684790 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A62303) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IN 01080778A) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IN 01080778A) | |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2018-07-23 |