| NPI | 1609142801 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: VA 0101273436) |
| Additional Taxonomies | 207RR0500X Internal Medicine Rheumatology (Licence: IL 036137940) |
| 207R00000X Internal Medicine (Licence: IL 125061089) | |
| Enumeration Date | 2012-04-01 |
| Last Update Date | 2021-11-11 |