| NPI | 1174629836 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: IL 036.121932) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: WI 49505) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2011-09-27 |