| NPI | 1932175478 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: CO 23296) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 23296) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: CO 23296) | |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2019-09-30 |