| NPI | 1376504670 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO 22327) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 22327) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: CO DR.0022327) | |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2020-06-09 |