| NPI | 1629232087 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036414355) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD443556) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD443556) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD443556) | |
| 207R00000X Internal Medicine (Licence: PA MT193998) | |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2024-10-02 |