| NPI | 1376771626 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MI 5101018446) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: IL 36135769) |
| 207R00000X Internal Medicine (Licence: MI 5101018446) | |
| 207R00000X Internal Medicine (Licence: FL OS11877) | |
| 207RR0500X Internal Medicine Rheumatology (Licence: MI 5101018446) | |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2024-02-27 |