| NPI | 1205912656 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A96050) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036154174) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A96050) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 307042) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036154174) | |
| Enumeration Date | 2006-10-28 |
| Last Update Date | 2026-08-11 |