| NPI | 1164040366 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036.164245) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: KS 04-53518) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036.164245) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KS 04-53518) | |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2026-07-20 |