| NPI | 1568565455 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IN 01059158A) | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01059158A) | 
| 207R00000X Internal Medicine (Licence: IN 01059158A) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IN 01059158) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IN 01059158A) | |
| Enumeration Date | 2006-09-06 | 
| Last Update Date | 2025-09-29 |