| NPI | 1275821878 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 99179) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125059106) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 99179) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036-134513) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036-134513) | |
| Enumeration Date | 2011-07-16 |
| Last Update Date | 2024-07-03 |