| NPI | 1518596337 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036164768) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036164768) |
| 207R00000X Internal Medicine (Licence: IL 125.075799) | |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2024-05-22 |