| NPI | 1558399931 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO 42168) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 42168) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WY 9593A) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NE 27706) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 48445) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NV 15088) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CO 42168) | |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2020-11-12 |