| NPI | 1053760835 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: PA MT210707) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT210707) |
| Enumeration Date | 2016-06-12 |
| Last Update Date | 2020-02-20 |