| NPI | 1689907859 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: NY 291476) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL AN52403949533) |
| Enumeration Date | 2009-09-04 |
| Last Update Date | 2023-06-29 |