| NPI | 1477655488 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: IL 036-111655) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-111655) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2019-05-01 |