| NPI | 1497722284 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: CO 28261) |
| Additional Taxonomies | 207LC0200X Anesthesiology Critical Care Medicine (Licence: CO 28261) |
| 207R00000X Internal Medicine (Licence: CO 28261) | |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2012-01-18 |