| NPI | 1982758389 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO 44560) |
| Additional Taxonomies | 207RH0005X Internal Medicine, Hypertension Specialist (Licence: CO 44560) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2012-11-27 |