| NPI | 1336566819 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: IL 036.146124) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: IL 036.146124) |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2022-06-29 |