| NPI | 1043210149 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: TX K8522) |
| Additional Taxonomies | 207RR0500X Internal Medicine Rheumatology (Licence: AR E0710) |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2022-02-09 |