| NPI | 1639312556 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036129383) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: KS 04-45116) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 070514) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 070514) | |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2022-05-18 |