NPI | 1376005199 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: IL 036159844) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036159844) |
Enumeration Date | 2019-04-01 |
Last Update Date | 2025-08-29 |