| NPI | 1568448884 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 0636068970) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036068970) |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2025-01-24 |