| NPI | 1225158694 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI 4301076558) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 4301076558) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036121035) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036121035) | |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2024-09-12 |