| NPI | 1801108782 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: UT 11297956-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01072176A) |
| 207R00000X Internal Medicine (Licence: MI 4301096972) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IN 01072176A) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IN 01072176A) | |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2024-06-07 |