| NPI | 1447236369 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CO 53725) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 44071) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO 53725) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MN 44071) | |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2024-06-14 |