| NPI | 1255726972 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: IL 036159435) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD045954) | 
| 208M00000X Hospitalist (Licence: DC MD045954) | |
| Enumeration Date | 2015-03-31 | 
| Last Update Date | 2022-07-19 |