| NPI | 1285989236 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: CA 20A14736) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL AE38738983696) |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2025-12-08 |