| NPI | 1790777225 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MO 113413) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036.107143) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036.107143) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO 113413) | |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2015-03-10 |