| NPI | 1043300510 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: IA 39828) |
| Additional Taxonomies | 207RG0300X Internal Medicine Geriatric Medicine (Licence: AR E-2817) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2018-03-19 |