| NPI | 1609825017 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IN 01071672A) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NV 6726) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NV 6726) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IN 01071672A) | |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2020-02-07 |