| NPI | 1861856411 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: NC 2024-01022) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01085780A) |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: NC 2024-01022) | |
| 208000000X Pediatrics (Licence: IN 01085780A) | |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2024-09-18 |