| NPI | 1356571392 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: CO DR.0057093) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX N9691) |
| 207R00000X Internal Medicine (Licence: NC 2012-02395) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: CO TL0005814) | |
| Enumeration Date | 2009-07-24 |
| Last Update Date | 2016-07-28 |