| NPI | 1578710232 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI 4301092735) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 4301092735) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IN 01075040A) | |
| 208600000X Surgery (Licence: MI 4301092735) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NE 6734) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IN 01075040A) | |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2024-06-20 |