| NPI | 1861758526 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO 2020013186) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 61842-20) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036140072) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MO 2020013186) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036140072) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WI 61842-20) | |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2020-06-22 |