| NPI | 1215257126 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CO DR0066739) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0066739) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO DR0066739) | |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2024-03-18 |