| NPI | 1588891469 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MN 56961) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL BF4649604-A357) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: MN 106941) | |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2020-08-14 |