NPI | 1124401500 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: IL 036-157752) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE TEP7497) |
Enumeration Date | 2015-07-03 |
Last Update Date | 2022-04-19 |