| NPI | 1073589016 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: CO DR.0057117) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: WI 32216) |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2016-08-16 |