| NPI | 1184913568 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WI 60194) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036142414) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036142414) | |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2018-07-05 |