| NPI | 1053388942 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MO 2000167863) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: IL 036131558) |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2025-10-09 |