NPI | 1255673638 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO DR.0060677) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CO DR.0060677) |
207R00000X Internal Medicine (Licence: CO DR.0060677) | |
Enumeration Date | 2013-03-23 |
Last Update Date | 2021-09-22 |