| NPI | 1891905469 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: CO 0060471) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: CO 0060471) |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: MO 2008008952) | |
| 208D00000X General Practice (Licence: MO 2008008952) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2024-02-23 |