NPI | 1780688200 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO 18705) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CO 18705) |
207R00000X Internal Medicine (Licence: CO 18705) | |
Enumeration Date | 2005-06-13 |
Last Update Date | 2020-11-11 |