| NPI | 1073547931 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NC 2005-01958) |
| Additional Taxonomies | 174400000X Specialist (Licence: NC 2005-01958) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2022-07-04 |