| NPI | 1962717918 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: CA a126337) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125057760) |
| Enumeration Date | 2010-08-15 |
| Last Update Date | 2018-08-15 |