| NPI | 1962765503 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036155973) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 266604) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036155973) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: IL 036155973) | |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2021-09-01 |