| NPI | 1760542013 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: IL 036040927) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 336-009623) |
| Enumeration Date | 2006-12-09 |
| Last Update Date | 2010-12-08 |