| NPI | 1245229301 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO 64427) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: CO 64427) |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2020-11-12 |