| NPI | 1881804748 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IN 01070090A) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IN 01070090A) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: KY 42331) | |
| 207R00000X Internal Medicine (Licence: IN 01070090A) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KY 42331) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2026-04-15 |