| NPI | 1588751382 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036130356) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO 114228) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2018-03-23 |