| NPI | 1912331323 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KY 55387) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036-148564) |
| 207R00000X Internal Medicine (Licence: NY 287538) | |
| 207R00000X Internal Medicine (Licence: IL 036-148564) | |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2021-09-03 |