| NPI | 1942569355 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IA MD-44243) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD-44243) |
| 207R00000X Internal Medicine (Licence: IA R-9357) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IA R-09941) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IA MD-44243) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IA R-09941) | |
| Enumeration Date | 2012-05-07 |
| Last Update Date | 2017-06-19 |