| NPI | 1346232048 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: IL 036132557)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2008016307)  | 
| 225100000X Physical Therapist (Licence: IL 070011305)  | |
| Enumeration Date | 2005-08-18 | 
| Last Update Date | 2023-08-18 |