NPI | 1407235518 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: IL 036-145886) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125066334) |
Enumeration Date | 2015-05-21 |
Last Update Date | 2020-09-24 |