| NPI | 1003268343 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036.151221) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036.151221) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WI 72553-20) | |
| 207R00000X Internal Medicine (Licence: IL 036.151221) | |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2026-06-27 |