| NPI | 1871807883 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AR E-9750) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301097342) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036151482) | |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2022-01-20 |