| NPI | 1275063844 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036152838) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125070822) |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2024-02-07 |