| NPI | 1679953624 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME153222) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IN 01082350A) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME153222) | |
| 207R00000X Internal Medicine (Licence: AZ R75118) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IN 01082350A) | |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2022-04-06 |