| NPI | 1861626731 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036.141786)  | 
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 1071)  | 
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036.141786)  | |
| Enumeration Date | 2009-05-07 | 
| Last Update Date | 2023-01-17 |