| NPI | 1760879498 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: UT 12229822-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0062018) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: UT 12229822-1205) | |
| 208000000X Pediatrics (Licence: CO DR.0062018) | |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CO DR.0062018) | |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2021-05-31 |