| NPI | 1215978473 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: IL 036127013) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35-08-2253) |
| 207RR0500X Internal Medicine Rheumatology (Licence: OH 35-08-2253) | |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2014-05-09 |