| NPI | 1639565427 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036148908) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 293782) |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2022-08-26 |