| NPI | 1669682522 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: CO DR47917) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-7873) |
| 207R00000X Internal Medicine (Licence: CO DR-47917) | |
| 207R00000X Internal Medicine (Licence: CO TL-3034) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2013-10-03 |