| NPI | 1023279544 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO 50062) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO TL-2774) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CO 50062) | |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2021-03-17 |