| NPI | 1568859007 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: AZ 65843) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: NY 2943681) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: IL 036.152107) | |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2023-02-02 |