| NPI | 1699720896 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036-102603) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01061060A) |
| 207R00000X Internal Medicine (Licence: TN 39580) | |
| 207R00000X Internal Medicine (Licence: KY 37863) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IN 01061060A) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KY 37863) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036-102603) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN 39580) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IN 01061060A) | |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2025-06-04 |