| NPI | 1801928411 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: IL 036-120023) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: CA A89990) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: OH 35122893) | |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2020-11-09 |