| NPI | 1386901353 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036137400) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0116028981) |
| 207R00000X Internal Medicine (Licence: IL 036137400) | |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2021-04-05 |