| 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 |