| NPI | 1841484961 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: IL 036-119936) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125049227) | 
| 207RR0500X Internal Medicine, Rheumatology (Licence: WI 56163) | |
| Enumeration Date | 2007-08-31 | 
| Last Update Date | 2024-05-28 |