| NPI | 1215923065 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036093871) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MT MED-PHYS-LIC-92329) |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2025-12-09 |