| NPI | 1013461060 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101274652) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101274652) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101274652) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036.165327) | |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2025-04-13 |