| NPI | 1093243008 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO DR.0070333) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0070333) |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2025-10-23 |