| NPI | 1841327889 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO 39287) |
| Additional Taxonomies | 2251C2600X Physical Therapist, Cardiopulmonary (Licence: CO 39287) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2021-06-08 |