| NPI | 1215481593 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MN 70512) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 311595-01) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036.168602) | |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2024-03-14 |