| NPI | 1700142189 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A128595) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A128595) |
| 207R00000X Internal Medicine (Licence: IL 036137335) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036137335) | |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2019-06-24 |