| NPI | 1760896633 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: OH 35.148675) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: IL 036143369) |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: IL 036143369) | |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2023-09-25 |