| NPI | 1073562930 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO CDR.0002817) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 68506) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO CDR.0002817) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CO CDR.0002817) | |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2025-09-09 |