| NPI | 1982665071 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO DR.0058459) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CO DR.0058459) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IA 31181) | |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2017-05-22 |