| NPI | 1225257694 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: IL 036148640) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: MO 2009017530) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: WI 74685-20) | |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2025-01-09 |