| NPI | 1407807035 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036068425) |
| Additional Taxonomies | 174400000X Specialist (Licence: IL 036068425) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036068425) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2015-04-21 |