| NPI | 1942705967 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036171093) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.073117) |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2024-07-12 |