| NPI | 1962840934 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CO 58547) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO 58547) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO TL.005947) | |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2020-11-12 |