| NPI | 1336223205 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: IL 036163351) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: NC 99-00711) |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: NC 99-00711) | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2023-04-10 |