| NPI | 1932300241 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: PA MD4834540) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD4834540) |
| 207R00000X Internal Medicine (Licence: MI 4301089980) | |
| 207R00000X Internal Medicine (Licence: IN 01069031A) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: PA MD4834540) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: TN 65256) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: TN 65256) | |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2024-08-09 |