| NPI | 1831333855 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: IL 036.130374)  | 
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: WI 64508-21)  | 
| Enumeration Date | 2009-04-21 | 
| Last Update Date | 2021-12-31 |