| NPI | 1730535998 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: IL 036.149197) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R75552) |
| Enumeration Date | 2016-05-06 |
| Last Update Date | 2019-06-11 |