| NPI | 1396085700 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036140213) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036140213) |
| 207R00000X Internal Medicine (Licence: RI MD14350) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN 54341) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TN 54341) | |
| 207R00000X Internal Medicine (Licence: TN 54341) | |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2026-07-29 |