| NPI | 1417282583 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CO 0052574) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR52574) |
| 207R00000X Internal Medicine (Licence: TX p2135) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO 52574) | |
| Enumeration Date | 2009-10-07 |
| Last Update Date | 2018-04-27 |