| NPI | 1760538367 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CO DR.0046011) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 46011) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CT 049861) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CT 049861) | |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2018-11-21 |