| NPI | 1255567962 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: IL 036143117) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: IL 036143117) |
| 207R00000X Internal Medicine (Licence: VA 0101251265) | |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2024-07-31 |