| NPI | 1780879213 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MN 74171) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.118507) |
| 207R00000X Internal Medicine (Licence: CA A100357) | |
| 207R00000X Internal Medicine (Licence: NV 12457) | |
| 207RR0500X Internal Medicine, Rheumatology (Licence: IL 036118507) | |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2023-06-09 |