| NPI | 1417075581 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: IL 036130313) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 253170-1) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301088345) | |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2023-05-30 |