| NPI | 1932118536 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 36115006) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: WI 61024) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2018-03-27 |