| NPI | 1073509824 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036074455) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036074455) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036074455) | |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2025-02-26 |