| NPI | 1790715894 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036125114) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036125114) |
| 207R00000X Internal Medicine (Licence: MI 4301082569) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036.125114) | |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2025-06-05 |