| NPI | 1285924480 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO DR.0065153) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CO DR.0065153) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: UT 9089462-1205) | |
| Enumeration Date | 2011-04-09 |
| Last Update Date | 2023-01-03 |