| NPI | 1629659057 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 125.078013) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: IL 036-165437) |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: IL 036-165437) | |
| Enumeration Date | 2021-04-17 |
| Last Update Date | 2024-04-15 |