| NPI | 1649223736 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036141149) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AR e7737) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD066548L) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AR e7737) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036141149) | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2021-02-19 |