| NPI | 1750660734 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KY 47408) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: KY 47408) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IN 01088858A) | |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2024-08-22 |