| 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 |