NPI | 1891156717 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CO DR.0070224) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.027824) |
207R00000X Internal Medicine (Licence: CO DR.0070224) | |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO DR.0070224) | |
208000000X Pediatrics (Licence: OH 57.027824) | |
Enumeration Date | 2016-03-20 |
Last Update Date | 2024-06-14 |