| NPI | 1770769432 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036117429) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 246640) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: ND 11646) | |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2021-07-12 |