NPI | 1093008583 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO DR.0059797) |
Additional Taxonomies | 174400000X Specialist (Licence: CA A131068) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2011-05-17 |
Last Update Date | 2021-04-09 |