| NPI | 1053815225 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036160895) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 287094) |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2022-06-30 |