| NPI | 1659675296 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: IN 01073824A) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: WV 29493) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: FL ME121052) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: GA 87669) | |
| 207R00000X Internal Medicine (Licence: IN 01073824A) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: IN 01073824) | |
| Enumeration Date | 2010-12-22 |
| Last Update Date | 2025-07-24 |