| NPI | 1962592642 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: CO DR.0033914) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO 33914) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2021-04-16 |