| NPI | 1538392311 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CO 54350) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO 54350) |
| 207R00000X Internal Medicine (Licence: CO 54350) | |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2022-01-12 |