| NPI | 1841533221 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A169997) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0062399) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CO DR.0062399) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A169997) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO DR.0062399) | |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2022-08-31 |