| NPI | 1124478763 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO DR.0067886) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS019069) |
| 207R00000X Internal Medicine (Licence: PA OT017333) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CO DR.006788) | |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2024-06-14 |