| NPI | 1003955618 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036-112847) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036112847) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036-112847) | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2014-05-07 |