| NPI | 1336404532 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: IL 036136632) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-136632) |
| 207R00000X Internal Medicine (Licence: WI 64198-21) | |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2023-08-07 |