| NPI | 1063452787 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MO 101868) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: WI 82570) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2023-10-03 |