| NPI | 1528172236 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036069603) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 75779) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036069603) | |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2025-07-29 |