| NPI | 1023453479 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: AZ 49549) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R73749) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: MN 60555) | |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2020-09-03 |