| NPI | 1033485891 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0062880) |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 207R00000X Internal Medicine (Licence: MI 5101019813) | |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2022-07-21 |