| NPI | 1053507715 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NM MD2010-0288) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 6353453-1205) |
| Enumeration Date | 2007-09-17 |
| Last Update Date | 2024-04-18 |