| NPI | 1003856659 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: NH 33133) |
| Additional Taxonomies | 207RR0500X Internal Medicine Rheumatology (Licence: NE 21360) |
| 207RR0500X Internal Medicine Rheumatology (Licence: FL ME 97774) | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2024-08-05 |