| NPI | 1093202517 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO DR.0075930) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CO DR.0075930) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 1016688) | |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2025-09-02 |