| NPI | 1497912091 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036.118735) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036118735) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036.118735) | |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2022-02-11 |