| NPI | 1972633741 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036113651) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 36113651) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036116351) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: CT 047736) | |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2009-06-23 |