| NPI | 1073540266 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: FL ME153301) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: MS 17466) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2022-01-06 |