NPI | 1386959302 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: IL 036126123) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036126123) |
207R00000X Internal Medicine (Licence: PA MD447079) | |
207RR0500X Internal Medicine, Rheumatology (Licence: PA MD447079) | |
Enumeration Date | 2010-08-13 |
Last Update Date | 2022-07-07 |