| NPI | 1770920209 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MN 72377) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO DR.0078103) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 72377) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CO DR.0078103) | |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2026-07-29 |