| NPI | 1942536164 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX P6293) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IN 01076305A) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036125370) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036125370) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX P6293) | |
| Enumeration Date | 2009-10-22 |
| Last Update Date | 2023-08-29 |