| NPI | 1083791651 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: IL 036105636) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR E-4310) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: IL 036105636) | |
| 208M00000X Hospitalist (Licence: IL 036105636) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2021-03-25 |