| NPI | 1538234406 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CO DR.0045140) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR-45140) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO DR.0045140) | |
| Enumeration Date | 2006-11-23 |
| Last Update Date | 2021-02-22 |