| NPI | 1053496349 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NC 2013-00820) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0102201801) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: VA 0102201801) | |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2017-03-17 |