| NPI | 1063907947 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036173244) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 5101023867) |
| Enumeration Date | 2018-06-24 |
| Last Update Date | 2026-03-19 |