| NPI | 1740255348 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IA 33887) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036104197) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IA 33887) | |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2021-04-26 |