| NPI | 1932150968 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036148349) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: SD 5028) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2019-07-16 |