NPI | 1225392368 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036149054) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX Pending) |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX Pending) | |
Enumeration Date | 2012-07-03 |
Last Update Date | 2022-02-08 |