| NPI | 1013152594 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NC 2008-00211) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: HI MD15554) |
| Enumeration Date | 2008-12-11 |
| Last Update Date | 2022-12-14 |