| NPI | 1366043440 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 125.077049) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036165627) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: IL 036165627) | |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2025-02-04 |