| NPI | 1467475848 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: IL 036083926) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: IL 063-083926) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2022-06-03 |