| NPI | 1104840123 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: IL 036-073570) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-073570) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2021-04-22 |