| NPI | 1639356447 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IN 01069993A) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036119238) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MA09746400) | |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2022-07-21 |