| NPI | 1376740308 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO 51325) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL me107236) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CO 51325) | |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2021-03-12 |