| NPI | 1346570587 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: MA 281888) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036129688) |
| Enumeration Date | 2010-01-11 |
| Last Update Date | 2020-12-15 |