| NPI | 1265419659 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: CO 46478) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: CO 46478) |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2018-06-22 |