| NPI | 1578523676 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IN 01034777B) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: IN 01034777B) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IN 01034777B) | |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2013-09-25 |