| NPI | 1588708283 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO DR.0023349) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: CO 23349) |
| 2251C2600X Physical Therapist, Cardiopulmonary (Licence: CO 23349) | |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2017-12-06 |