| NPI | 1730158262 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CO 19484) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO 19484) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NE 12882) | |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2018-12-04 |