| NPI | 1821409319 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KY 53445) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: KY 53445) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO DR.0065750) | |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2023-09-20 |