NPI | 1740623404 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO 62277) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A141096) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: CO 62277) | |
Enumeration Date | 2013-04-12 |
Last Update Date | 2020-11-12 |