| NPI | 1760612998 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO DR.0055642) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0055642) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CO 55642) | |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2019-03-14 |