NPI | 1679099626 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: IL 036172994) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE TEP8082) |
Enumeration Date | 2017-08-21 |
Last Update Date | 2025-01-22 |