| NPI | 1871549816 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IN 01065068A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01065068A) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: KY TP979) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 87983) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KY Tp979) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IN 01065068A) | |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2025-03-18 |