| NPI | 1720217326 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IN 01088967A) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 355) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NE 26954) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WI 355) | |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2023-01-23 |