| NPI | 1619268497 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: LA 308597) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO DR.0057001) |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2024-03-04 |