| NPI | 1013167048 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 234543) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: MD D0096628) |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2023-07-18 |