NPI | 1225233554 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO 62129) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CO 62129) |
Enumeration Date | 2007-06-18 |
Last Update Date | 2020-11-11 |