| NPI | 1972583755 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA GH112Z) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA GH112Z) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036.169355) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036.169355) | |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2024-04-16 |