| NPI | 1043584865 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: IL 036134847) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 60 270948) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: IL 036134847) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-02-24 |
| Last Update Date | 2018-06-25 |