| NPI | 1962456442 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036070297) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: IL 036070297) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2012-01-11 |