| NPI | 1326429747 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036145600) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: KS 04-45586) |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2022-04-11 |